A Phase 1/2 interventional study of Aldoxorubicin HCl and ALT-803 in Pancreatic Cancer, sponsored by ImmunityBio, Inc.. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-27.
Sponsored by ImmunityBio, Inc. · Phase 1/2, Interventional, and Treatment
This is a phase 1b/2 study to evaluate the safety and efficacy of metronomic combination therapy in subjects with pancreatic cancer who have progressed on or after previous Standard of Care (SoC) chemotherapy.
Treatment will be administered in two phases, an induction and a maintenance phase, as described below. Subjects will continue induction treatment for up to 1 year. Treatment in the study will be discontinued if the subject experiences progressive disease (PD) or unacceptable toxicity (not corrected with dose reduction), withdraws consent, or if the Investigator feels it is no longer in the subject's best interest to continue treatment. Those who have a complete response (CR) in the induction phase will enter the maintenance phase of the study. Subjects who experience ongoing stable disease (SD) or an ongoing partial response (PR) at 1 year may enter the maintenance phase at the Investigator's discretion. Subjects may remain on the maintenance phase of the study for up to 1 year. Treatment will continue in the maintenance phase until the subject experiences PD or unacceptable toxicity (not corrected with dose reduction), withdraws consent, or if the Investigator feels it is no longer in the subject's best interest to continue treatment. The maximum time on study treatment, including both the induction and maintenance phases, is 2 years.
3,235 studies on the registry are indexed under Pancreatic Neoplasms; 898 are open to participants now.
This study's enrollment of 3 is below the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.
Browse Pancreatic Neoplasms studies →ImmunityBio, Inc. is the lead sponsor of 82 studies on the registry; 15 are open to participants now.
Of its 23 completed or terminated interventional studies of FDA-regulated products, 17 (74%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Inadequate organ function, evidenced by the following laboratory results:
A combination of agents were administered to subjects in this study: Aldoxorubicin HCl, ALT-803, ETBX-011 (CEA), ETBX-021 (HER2), ETBX-051 (Brachyury), ETBX-061 (MUC1), GI-4000, GI-6207, GI-6301, haNK for infusion, avelumab, bevacizumab, capecitabine, cyclophosphamide, fluorouracil, leucovorin, nab-paclitaxel, oxaliplatin, and Stereotactic Body Radiation Therapy (SBRT).
Drug: Aldoxorubicin HCl · Biological: ALT-803 · Biological: ETBX-011 · Biological: ETBX-021 · Biological: ETBX-051 · Biological: ETBX-061 · Biological: GI-4000 · Biological: GI-6207 · Biological: GI-6301 · Biological: haNK for infusion · Biological: bevacizumab · Drug: Capecitabine · Drug: Cyclophosphamide · Drug: Fluorouracil · Drug: Leucovorin · Drug: nab-Paclitaxel · Drug: Oxaliplatin · Biological: Avelumab · Procedure: SBRT
Aldoxorubicin Hydrochloride
Recombinant human super agonist interleukin-15 (IL-15) complex
Ad5 \[E1-, E2b-\]-CEA
Ad5 \[E1-, E2b-\]-HER2
Ad5 \[E1-, E2b-\]-Brachyury
Ad5 \[E1-, E2b-\]-MUC1
RAS yeast
Carcinoembryonic Antigen (CEA) yeast
Brachyury yeast
NK-92 \[CD16.158V, ER IL-2\]
Recombinant human anti-Vascular Endothelial Growth Factor (VEGF) IgG1 monoclonal
5'-deoxy-5-fluoro-N-\[(pentyloxy) carbonyl\]-cytidine
2-\[bis(2-chloroethyl)amino\]tetrahydro-2H-1,3,2-oxazaphosphorine 2-oxide monohydrate
5-fluoro-2,4 (1H,3H)-pyrimidinedione
L-Glutamic acid, N-\[4-\[\[(2-amino-5-formyl-1,4,5,6,7,8-hexahydro-4-oxo-6-pteridinyl)methyl\]amino\]benzoyl\]-, calcium salt
Benzenepropanoic acid, β-(benzoylamino)-α-hydroxy-(2aR, 4S, 4aS, 6R, 9S, 11S, 12S, 12aR, 12bS)-6,12b-bis(acetyloxy)-12-(benzoyloxy)-2a, 3, 4, 4a, 5, 6, 9, 10, 11, 12, 12a, 12b-dodecahydro-4,11-dihydroxy-4a, 8, 13, 13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca\[3,4\]benz\[1,2-b\]oxet-9-y1ester,(αR,βS)-(9CI) bound to albumin
cis-\[(1 R,2 R)-1,2-cyclohexanediamine-N,N'\] \[oxalato(2-)- O,O'\] platinum
Recombinant human anti-programmed death-ligand 1 (PD-L1) IgG1 monoclonal antibody
Stereotactic Body Radiation Therapy
Number of Participants With Treatment-emergent Adverse Events (AEs) and Serious AEs (SAEs)
Graded Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03
Time frame: Up to 230 days
Objective Response Rate by RECIST Version 1.1
Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase by computed tomography (CT) or magnetic resonance imaging (MRI) of target and non-target lesions in accordance with RECIST Version 1.1. An objective response is defined as a confirmed complete or partial overall response with confirmation occurring at least 4 weeks after the initial response is observed.
Time frame: Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase until disease progression, up to 6.8 months
Objective Response Rate by irRC
Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase by computed tomography (CT) or magnetic resonance imaging (MRI) of target and non-target lesions in accordance with immune-related response criteria (irRC). An objective response is defined as a confirmed complete or partial overall response with confirmation occurring at least 4 weeks after the initial response is observed.
Time frame: Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase until confirmed disease progression, up to 6.8 months
Progression Free Survival by RECIST Version 1.1.
PFS was evaluated using Kaplan-Meier methods. PFS was defined as the time from the date of first treatment to the date of disease progression or death (any cause) whichever occurs first. Subjects completing study follow-up or initiating a new anticancer therapy prior to documented PD was censored in the PFS analysis at the last known date the subject was progression free prior to completing follow-up or initiating the new therapy.
Time frame: Tumors were assessed at screening, and tumor response was assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase until disease progression or death (any cause) whichever occurred first, up to 6.8 months.
Progression Free Survival by irRC
PFS was evaluated using Kaplan-Meier methods. PFS was defined as the time from the date of first treatment to the date of disease progression or death (any cause) whichever occurs first. Subjects completing study follow-up or initiating a new anticancer therapy prior to documented PD was censored in the PFS analysis at the last known date the subject was progression free prior to completing follow-up or initiating the new therapy.
Time frame: Tumors were assessed at screening, and tumor response was assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase until disease progression or death (any cause) whichever occurred first.
Overall Survival
OS was evaluated using Kaplan-Meier methods. OS was defined as the time from the date of first treatment to the date of death (any cause). Participants who were alive at the end of follow-up were censored in the OS analysis at the last known date alive.
Time frame: Participants were assessed from screening to death.
Duration of Response (DOR) by RECIST Version 1.1 and irRC
DOR was be defined as the time from the date of first response (PR or CR) to the date of disease progression or death (any cause) whichever occurs first. Responding subjects completed study follow-up or initiating a new anticancer therapy prior to documented PD were censored in the DOR analysis at the last known date the subject was progression free prior completing follow-up or initiating the new therapy.
Time frame: Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase until confirmed disease progression, up to 6.8 months
Disease Control Rate (Confirmed Complete Response, Partial Response, or Stable Disease Lasting for at Least 2 Months) by RECIST Version 1.1 and irRC
Disease control is defined as subjects with a confirmed CR, PR, or SD lasting for at least 2 months.
Time frame: Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase until confirmed disease progression, up to 6.8 months
Quality of Life by Patient Reported Outcomes (PRO)
PROs were assessed using the Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) questionnaire. The FACT-Hep is compilation of general questions divided into five QOL subscales: Physical Well-Being - Scores ranging from 0-28 Social/Family Well-Being - Scores ranging from 0-28 Emotional Well-Being - Scores ranging from 0-24 Functional Well-Being - Scores ranging from 0-28 Additional Concerns - Scores ranging from 0-72 It uses 5-point Likert-type response categories ranging from 0 = 'not at all' to 4 = 'very much' The higher scales and subscales indicate better quality of life. Negatively worded items were reverse scored. If the missing for each subscale was less than 50%, the prorating scores were computed for the subscale.
Time frame: 30 days after last dose, up 12.7 months
| Milestone | NANT Pancreatic Cancer Vaccine |
|---|---|
| Started | 3 |
| Completed | 0 |
| Not completed | 3 |
| Withdrew: Progressive disease | 3 |
Graded Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03
| Participants | NANT Pancreatic Cancer Vaccine |
|---|---|
| Treatment-Emergent Adverse Events | 3 |
| Treatment-Emergent Serious Adverse Events | 2 |
Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase by computed tomography (CT) or magnetic resonance imaging (MRI) of target and non-target lesions in accordance with RECIST Version 1.1. An objective response is defined as a confirmed complete or partial overall response with confirmation occurring at least 4 weeks after the initial response is observed.
| Participants | NANT Pancreatic Cancer Vaccine |
|---|---|
| Objective Response Rate by RECIST Version 1.1 | 0 |
Tumors were assessed at screening, and tumor response will be assessed every 8 weeks during the induction phase, and every 12 weeks during the maintenance phase by computed tomography (CT) or magnetic resonance imaging (MRI) of target and non-target lesions in accordance with immune-related response criteria (irRC). An objective response is defined as a confirmed complete or partial overall response with confirmation occurring at least 4 weeks after the initial response is observed.
| Participants | NANT Pancreatic Cancer Vaccine |
|---|---|
| Objective Response Rate by irRC | 0 |
PFS was evaluated using Kaplan-Meier methods. PFS was defined as the time from the date of first treatment to the date of disease progression or death (any cause) whichever occurs first. Subjects completing study follow-up or initiating a new anticancer therapy prior to documented PD was censored in the PFS analysis at the last known date the subject was progression free prior to completing follow-up or initiating the new therapy.
| Months | NANT Pancreatic Cancer Vaccine |
|---|---|
| Progression Free Survival by RECIST Version 1.1. | 1.7 (0.5 to NA) |
PFS was evaluated using Kaplan-Meier methods. PFS was defined as the time from the date of first treatment to the date of disease progression or death (any cause) whichever occurs first. Subjects completing study follow-up or initiating a new anticancer therapy prior to documented PD was censored in the PFS analysis at the last known date the subject was progression free prior to completing follow-up or initiating the new therapy.
| Months | NANT Pancreatic Cancer Vaccine |
|---|---|
| Progression Free Survival by irRC | 1.7 (0.5 to NA) |
OS was evaluated using Kaplan-Meier methods. OS was defined as the time from the date of first treatment to the date of death (any cause). Participants who were alive at the end of follow-up were censored in the OS analysis at the last known date alive.
| Months | NANT Pancreatic Cancer Vaccine |
|---|---|
| Overall Survival | 4.6 (2.5 to NA) |
DOR was be defined as the time from the date of first response (PR or CR) to the date of disease progression or death (any cause) whichever occurs first. Responding subjects completed study follow-up or initiating a new anticancer therapy prior to documented PD were censored in the DOR analysis at the last known date the subject was progression free prior completing follow-up or initiating the new therapy.
No measurements were reported for this outcome.
Disease control is defined as subjects with a confirmed CR, PR, or SD lasting for at least 2 months.
| Participants | NANT Pancreatic Cancer Vaccine |
|---|---|
| Complete Response | 0 |
| Partial Response | 0 |
| Stable Disease | 1 |
PROs were assessed using the Functional Assessment of Cancer Therapy-Hepatobiliary (FACT-Hep) questionnaire. The FACT-Hep is compilation of general questions divided into five QOL subscales: Physical Well-Being - Scores ranging from 0-28 Social/Family Well-Being - Scores ranging from 0-28 Emotional Well-Being - Scores ranging from 0-24 Functional Well-Being - Scores ranging from 0-28 Additional Concerns - Scores ranging from 0-72 It uses 5-point Likert-type response categories ranging from 0 = 'not at all' to 4 = 'very much' The higher scales and subscales indicate better quality of life. Negatively worded items were reverse scored. If the missing for each subscale was less than 50%, the prorating scores were computed for the subscale.
| score on a scale | NANT Pancreatic Cancer Vaccine |
|---|---|
| Physical Well-Being - Baseline | 13.3 (11.7 to 15.0) |
| Physical Well-Being - (I) C3D1 | 16.5 (14.0 to 19.0) |
| Physical Well-Being - (I) C5D1 | 9.0 (9.0 to 9.0) |
| Physical Well-Being - (I) C7D1 | 11.0 (11.0 to 11.0) |
| Physical Well-Being - (I) C9D1 | 3.0 (3.0 to 3.0) |
| Physical Well-Being - (M) C1D1 | 12.0 (12.0 to 12.0) |
| Physical Well-Being - End of Treatment | 22.0 (22.0 to 22.0) |
| Social/Family Well-Being - Baseline | 25.5 (23.0 to 28.0) |
| Social/Family Well-Being- (I) C3D1 | 26.0 (24.0 to 28.0) |
| Social/Family Well-Being- (I) C5D1 | 20.0 (20.0 to 20.0) |
| Social/Family Well-Being - (I) C7D1 | 25.0 (25.0 to 25.0) |
| Social/Family Well-Being - (I) C9D1 | 23.0 (23.0 to 23.0) |
| Social/Family Well-Being - (M) C1D1 | 18.0 (18.0 to 18.0) |
| Social/Family Well-Being - End of Treatment | 28.0 (28.0 to 28.0) |
| Emotional Well-Being - Baseline | 19.0 (16.0 to 22.0) |
| Emotional Well-Being - (I) C3D1 | 20.5 (19.0 to 22.0) |
| Emotional Well-Being - (I) C5D1 | 18.0 (18.0 to 18.0) |
| Emotional Well-Being - (I) C7D1 | 14.0 (14.0 to 14.0) |
| Emotional Well-Being - (I) C9D1 | 13.0 (13.0 to 13.0) |
| Emotional Well-Being - (M) C1D1 | 8.0 (8.0 to 8.0) |
| Emotional Well-Being - End of Treatment | 21.0 (21.0 to 21.0) |
| Functional Well-Being - Baseline | 15.0 (8.0 to 22.0) |
| Functional Well-Being - (I) C3D1 | 18.0 (15.0 to 21.0) |
| Functional Well-Being - (I) C5D1 | 17.0 (17.0 to 17.0) |
| Functional Well-Being - (I) C7D1 | 12.0 (12.0 to 12.0) |
| Functional Well-Being - (I) C9D1 | 9.0 (9.0 to 9.0) |
| Functional Well-Being - (M) C1D1 | 10.0 (10.0 to 10.0) |
| Functional Well-Being - End of Treatment | 20.0 (20.0 to 20.0) |
| Additional Concerns - Baseline | 42.4 (36.0 to 49.0) |
| Additional Concerns - (I) C3D1 | 41.3 (36.0 to 46.6) |
| Additional Concerns - (I) C5D1 | 42.0 (42.0 to 42.0) |
| Additional Concerns - (I) C7D1 | 32.0 (32.0 to 32.0) |
| Additional Concerns - (I) C9D1 | 33.0 (33.0 to 33.0) |
| Additional Concerns - (M) C1D1 | 40.0 (40.0 to 40.0) |
| Additional Concerns - End of Treatment | 47.0 (47.0 to 47.0) |
Collected over Non-serious AEs were followed for 30 days after the subject's last dose of study treatment, up to 230 days. Non-serious grade 3 or 4 AEs were followed until resolution or stabilization, up to 230 days. All SAEs that had not resolved upon discontinuation of the subject's participation in the study were followed until recovered, recovered with sequelae, not recovered (death due to other cause), death (due to the SAE), lost to follow-up, up to 230 days.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| NANT Pancreatic Cancer Vaccine | 3/3 (100%) | 2/3 (66.7%) | 3/3 (100%) |
| Event | NANT Pancreatic Cancer Vaccine |
|---|---|
| Febrile neutropeniaBlood and lymphatic system disorders | 1/3 |
| Disease progressionGeneral disorders | 1/3 |
| Clostridium difficile infectionInfections and infestations | 1/3 |
| Event | NANT Pancreatic Cancer Vaccine |
|---|---|
| FatigueGeneral disorders | 3/3 |
| Disease progressionGeneral disorders | 2/3 |
| PyrexiaGeneral disorders | 2/3 |
| AnaemiaBlood and lymphatic system disorders | 2/3 |
| NeutropeniaBlood and lymphatic system disorders | 2/3 |
| NauseaGastrointestinal disorders | 2/3 |
| Deep vein thrombosisVascular disorders | 2/3 |
| Catheter site haemorrhageGeneral disorders | 1/3 |
| ChillsGeneral disorders | 1/3 |
| Gait disturbanceGeneral disorders | 1/3 |
| Age, Continuous(years) | NANT Pancreatic Cancer Vaccine |
|---|---|
| Mean | 67.3 ± 5.77 |
| Sex: Female, Male(Participants) | NANT Pancreatic Cancer Vaccine |
|---|---|
| Female | 0 |
| Male | 3 |
| Ethnicity (NIH/OMB)(Participants) | NANT Pancreatic Cancer Vaccine |
|---|---|
| Hispanic or Latino | 0 |
| Not Hispanic or Latino | 2 |
| Unknown or Not Reported | 1 |
| Race (NIH/OMB)(Participants) | NANT Pancreatic Cancer Vaccine |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 0 |
| White | 3 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
| subjects with pancreatic cancer who have progressed on or after standard-of-care therapy(Participants) | NANT Pancreatic Cancer Vaccine |
|---|---|
| Count of participants | 3 |
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ImmunityBio, Inc.